Home help feedback subscriptions archive search table of contents quick search:   [advanced] author: keyword(s): year:  vol:  page:  this article full text full text (pdf) alert me when this article is cited alert me if a correction is posted citation map services email this article to a friend similar articles in this journal alert me to new issues of the journal add to personal folders download to citation manager author home page(s): patrick m. Mccarthy sunil k. Bhudia bruce w. cheap viagra Lytle delos m. viagra price daily use Cosgrove eugene h. buy viagra cheap Blackstone permission requests citing articles citing articles via highwire citing articles via google scholar google scholar articles by mccarthy, p. M. Articles by blackstone, e. H. Search for related content pubmed articles by mccarthy, p. viagra before and after video M. Articles by blackstone, e. H. viagra no prescription needed canada J thorac cardiovasc surg 2004;127:674-685 © 2004 the american association for thoracic surgery surgery for acquired cardiovascular disease tricuspid valve repair: durability and risk factors for failure patrick m. Mccarthy, mda ,* , sunil k. Bhudia, mda , jeevanantham rajeswaran, msca , katherine j. Hoercher, rna , bruce w. generic viagra without prescription Lytle, mda , delos m. order viagra Cosgrove, mda , eugene h. Blackstone, mda a department of thoracic and cardiovascular surgery, the cleveland clinic foundation, cleveland, ohio, usa read at the eighty-third annual meeting of the american association for thoracic surgery, boston, mass, may 4-7, 2003. Received for publication may 5, 2003; revisions received november 3, 2003; accepted for publication november 10, 2003. * address for reprints: patrick m. Mccarthy, md, department of thoracic and cardiovascular surgery, 9500 euclid ave, desk f24, cleveland, oh 44195, usa mccartp{at}ccf. viagra black 800 mg Org objectives: to compare durability of tricuspid valve annuloplasty techniques, identify risk factors for repair failure, and characterize survival, reoperation, and functional class of surviving patients. Methods: from 1990 to 1999, 790 patients (mean age 65 ± 12 years, 51% new york heart association functional class iii or iv, and mean right ventricular systolic pressure 56 ± 18 mm hg) underwent tricuspid valve annuloplasty for functional regurgitation using 4 techniques: carpentier-edwards semi-rigid ring, cosgrove-edwards flexible band, de vega procedure, and customized semicircular peri-guard annuloplasty. buy viagra canada Of these patients, 89% had concomitant mitral valve surgery. A total of 2245 follow-up transthoracic echocardiograms were retrieved. Tricuspid regurgitation was analyzed, and risk factors for worsening regurgitation were identified, by multivariable ordinal longitudinal methods. Results: tricuspid regurgitation 1 week after annuloplasty was 3+ or 4+ in 14% of patients. Regurgitation severity was stable across time with the carpentier-edwards ring (p =. viagra 30 day free trial coupon 7), increased slowly with the cosgrove-edwards band (p =. 05), and rose more rapidly with the de vega (p =. 002) and peri-guard (p =. 0009) p. viagra pills